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id="1463405655405641729_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405655405641729" itemCode="CM-0-2-1-5"><a id="1463405655405641729_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405655405641729_Note"></span></div><div class="itemTR" id="1463405657423101953_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405657423101953" itemCode="CM-0-2-4-1"><a id="1463405657423101953_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405657423101953_Note"></span></div><div class="itemTR" id="1725352906548330498_Row" dic='[]'><div style="display:inline-block;width:35%;" title="age" class="itemDescTD">年龄</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1725352906548330498" itemCode="age"><a id="1725352906548330498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1725352906548330498_Note"></span></div><div class="itemTR" id="1463405659356676098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405659356676098" itemCode="CM-0-2-4-2"><a id="1463405659356676098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405659356676098_Note"></span></div><div class="itemTR" id="1463405661265084417_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405661265084417" itemCode="CM-0-2-6-1"><a id="1463405661265084417_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405661265084417_Note"></span></div><div class="itemTR" id="1463405665446805506_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405665446805506" itemCode="CM-0-2-6-2"><a id="1463405665446805506_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405665446805506_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463405667422322689_Row" dic='[{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406636885360641,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406637556449281,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406638231732226,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406638911209474,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406639603269633,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"e","id":1463406640286941185,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"f","id":1463406640958029826,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"g","id":1463406641692033026,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"h","id":1463406642379898881,"indNo":9,"isActive":1,"desc":"其他社会保险（ 生育保险、工伤保险、农民工保险等）"},{"formItemId":1463405667422322689,"isDefault":0,"updateDate":1700191168000,"code":"i","id":1463406643050987522,"indNo":10,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>费用支付方式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405667422322689" itemCode="CM-0-3-1"><a id="1463405667422322689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405667422322689_Note"></span></div><div class="itemTR" id="1463405669347508226_Row" dic='[{"formItemId":1463405669347508226,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406644401553410,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405669347508226,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406645169111041,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463405669347508226,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406645869559809,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463405669347508226,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406646570008577,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463405669347508226,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406648558108674,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463405669347508226,"isDefault":0,"updateDate":1700191168000,"code":"e","id":1463406649225003010,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405669347508226" itemCode="CM-0-3-2"><a id="1463405669347508226_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405669347508226_Note"></span></div><div class="itemTR" id="1463405671251722242_Row" dic='[{"formItemId":1463405671251722242,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406650537820161,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405671251722242,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406651204714497,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463405671251722242,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406651888386049,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463405671251722242,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406652978905090,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463405671251722242,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406653662576642,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405671251722242" itemCode="CM-0-3-3"><a id="1463405671251722242_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405671251722242_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('PIP-1: 预防性抗菌药物使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PIP-1: 预防性抗菌药物使用情况</div><div title="PIP-1: 预防性抗菌药物使用情况"><p title="预防性抗菌药物应用时机" class="itemsubCat">预防性抗菌药物应用时机</p><div class="itemTR" id="1463405673126576130_Row" dic='[{"formItemId":1463405673126576130,"isDefault":0,"updateDate":1700191168000,"code":"y","id":1463406655025725442,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463405673126576130,"isDefault":0,"updateDate":1700191168000,"code":"n","id":1463406655701008385,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否使用预防性抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463405673126576130" itemCode="CM-1-1-1"></div><a id="1463405673126576130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405673126576130_Note"></span></div><div class="itemTR" id="1463405675014012930_Row" dic='[{"formItemId":1463405675014012930,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406657097711617,"indNo":1,"isActive":1,"desc":"青霉素类"},{"formItemId":1463405675014012930,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406657806548993,"indNo":2,"isActive":1,"desc":"多西环素"},{"formItemId":1463405675014012930,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406658519580673,"indNo":3,"isActive":1,"desc":"大环内酯类"},{"formItemId":1463405675014012930,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406659278749698,"indNo":4,"isActive":1,"desc":"第一代或第二代头孢菌素"},{"formItemId":1463405675014012930,"isDefault":0,"updateDate":1700191168000,"code":"e","id":1463406659975004161,"indNo":5,"isActive":1,"desc":"喹诺酮类"},{"formItemId":1463405675014012930,"isDefault":0,"updateDate":1700191168000,"code":"f","id":1463406660654481409,"indNo":6,"isActive":1,"desc":"β-内酰胺类/β-内酰胺酶抑制剂"},{"formItemId":1463405675014012930,"isDefault":0,"updateDate":1700191168000,"code":"g","id":1463406661392678914,"indNo":7,"isActive":1,"desc":"碳青霉烯类及替加环素等特殊使用级抗菌药物"},{"formItemId":1463405675014012930,"isDefault":0,"updateDate":1700191168000,"code":"oth","id":1463406662177013762,"indNo":8,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-1-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>预防性抗菌药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463405675014012930" itemCode="CM-1-2-1-2"></div><a id="1463405675014012930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405675014012930_Note"></span></div><div class="itemTR" id="1463405676914032642_Row" dic='[{"formItemId":1463405676914032642,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406664832008193,"indNo":1,"isActive":1,"desc":"替加环素"},{"formItemId":1463405676914032642,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406666539089921,"indNo":2,"isActive":1,"desc":"亚胺培南西司他丁钠"},{"formItemId":1463405676914032642,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406667226955778,"indNo":3,"isActive":1,"desc":"美罗培南"},{"formItemId":1463405676914032642,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406667906433026,"indNo":4,"isActive":1,"desc":"厄他培南"},{"formItemId":1463405676914032642,"isDefault":0,"updateDate":1700191168000,"code":"e","id":1463406668636241921,"indNo":5,"isActive":1,"desc":"比阿培南"},{"formItemId":1463405676914032642,"isDefault":0,"updateDate":1700191168000,"code":"f","id":1463406669672235009,"indNo":6,"isActive":1,"desc":"万古霉素"},{"formItemId":1463405676914032642,"isDefault":0,"updateDate":1700191168000,"code":"g","id":1463406672910237698,"indNo":7,"isActive":1,"desc":"去甲万古霉素"},{"formItemId":1463405676914032642,"isDefault":0,"updateDate":1700191168000,"code":"oth","id":1463406674206277633,"indNo":8,"isActive":1,"desc":"其他特殊使用级抗菌药物"}]'><div style="display:inline-block;width:35%;" title="CM-1-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择碳青霉烯类及替加环素等特殊使用级抗菌药物</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463405676914032642" itemCode="CM-1-2-2-2"></div><a id="1463405676914032642_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405676914032642_Note"></span></div><div class="itemTR" id="1463405678944075778_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他特殊使用级抗菌药物名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405678944075778" itemCode="CM-1-2-2-1"><a id="1463405678944075778_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405678944075778_Note"></span></div><div class="itemTR" id="1463405680781180930_Row" dic='[{"formItemId":1463405680781180930,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406675577815041,"indNo":1,"isActive":1,"desc":"在病历中的主要诊断与次要诊断为感染者"},{"formItemId":1463405680781180930,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406676349566977,"indNo":2,"isActive":1,"desc":"有记录明示手术前患者正处在使用抗菌药物治疗感染的进程之中"},{"formItemId":1463405680781180930,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406677041627137,"indNo":3,"isActive":1,"desc":"临床医师认为有使用规范内的抗菌药物治疗的禁忌症者"},{"formItemId":1463405680781180930,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406678069231618,"indNo":4,"isActive":1,"desc":"甲氧西林葡萄球菌发生率高的医疗机构，可选用去甲万古霉素预防感染"},{"formItemId":1463405680781180930,"isDefault":0,"updateDate":1700191168000,"code":"e","id":1463406678744514562,"indNo":5,"isActive":1,"desc":"临床主任医师下达医嘱认为预防性抗菌药物有使用《特殊使用级抗菌药物》的指症"},{"formItemId":1463405680781180930,"isDefault":0,"updateDate":1700191168000,"code":"oth","id":1463406679407214594,"indNo":6,"isActive":1,"desc":"其他因素"}]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-2" class="itemDescTD">选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463405680781180930" itemCode="CM-1-3-1-2"></div><a id="1463405680781180930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405680781180930_Note"></span></div><div class="itemTR" id="1463405683763331073_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405683763331073" itemCode="CM-1-3-1-1"><a id="1463405683763331073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405683763331073_Note"></span></div><div class="itemTR" id="1463405686598680577_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术前使用首剂抗菌药物起始时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405686598680577" itemCode="CM-1-4-1"><a id="1463405686598680577_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405686598680577_Note"></span></div><p title="术中追加抗菌药物" class="itemsubCat">术中追加抗菌药物</p><div class="itemTR" id="1463405688515477506_Row" dic='[{"formItemId":1463405688515477506,"isDefault":0,"updateDate":1700191168000,"code":"y","id":1463406680820695042,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463405688515477506,"isDefault":0,"updateDate":1700191168000,"code":"n","id":1463406681542115329,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术时间是否≥3小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463405688515477506" itemCode="CM-1-5-1"></div><a id="1463405688515477506_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405688515477506_Note"></span></div><div class="itemTR" id="1463405690461634561_Row" dic='[{"formItemId":1463405690461634561,"isDefault":0,"updateDate":1704179984000,"code":"y","matchRule":"","updateUser":"admin","id":1463406682909458434,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463405690461634561,"isDefault":1,"updateDate":1704179984000,"code":"n","matchRule":"","updateUser":"admin","id":1463406683593129985,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463405690461634561" itemCode="CM-1-5-2"></div><a id="1463405690461634561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405690461634561_Note"></span></div><div class="itemTR" id="1463405692370042882_Row" dic='[{"formItemId":1463405692370042882,"isDefault":0,"updateDate":1704179995000,"code":"y","matchRule":"","updateUser":"admin","id":1463406684947890178,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463405692370042882,"isDefault":1,"updateDate":1704179995000,"code":"n","matchRule":"","updateUser":"admin","id":1463406685648338946,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中出血量是否≥1500ml</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463405692370042882" itemCode="CM-1-5-3"></div><a id="1463405692370042882_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405692370042882_Note"></span></div><div class="itemTR" id="1463405694408474625_Row" dic='[{"formItemId":1463405694408474625,"isDefault":0,"updateDate":1704179967000,"code":"y","matchRule":"","updateUser":"admin","id":1463406687057625089,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463405694408474625,"isDefault":1,"updateDate":1704179967000,"code":"n","matchRule":"","updateUser":"admin","id":1463406687711936514,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463405694408474625" itemCode="CM-1-5-4"></div><a id="1463405694408474625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405694408474625_Note"></span></div><div class="itemTR" id="1491963960742641666_Row" dic='[{"formItemId":1491963960742641666,"isDefault":0,"updateDate":1700191168000,"code":"y","id":1491963972138565633,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1491963960742641666,"isDefault":0,"updateDate":1700191168000,"code":"n","id":1491963972142759938,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="PIP-1-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后是否使用抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1491963960742641666" itemCode="PIP-1-3-3"></div><a id="1491963960742641666_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491963960742641666_Note"></span></div><div class="itemTR" id="1463405696312688641_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后抗菌药物停止使用时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405696312688641" itemCode="CM-1-6-1"><a id="1463405696312688641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405696312688641_Note"></span></div><div class="itemTR" id="1463405698174959618_Row" dic='[{"formItemId":1463405698174959618,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406689066696705,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405698174959618,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406689729396737,"indNo":2,"isActive":1,"desc":"术后24小时内结束使用"},{"formItemId":1463405698174959618,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406690417262593,"indNo":3,"isActive":1,"desc":"术后48小时内结束使用"},{"formItemId":1463405698174959618,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406691096739842,"indNo":4,"isActive":1,"desc":"术后72小时内结束使用"},{"formItemId":1463405698174959618,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406691763634178,"indNo":5,"isActive":1,"desc":"术后72小时之后继续使用"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-2" class="itemDescTD">使用抗菌药物时间使用时间分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405698174959618" itemCode="CM-1-6-2"><a id="1463405698174959618_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405698174959618_Note"></span></div><div class="itemTR" id="1463405700007870465_Row" dic='[{"formItemId":1463405700007870465,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406693135171586,"indNo":1,"isActive":1,"desc":"在主要或次要诊断中术前有感染或具备潜在高危感染因素的患者"},{"formItemId":1463405700007870465,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406693885952001,"indNo":2,"isActive":1,"desc":"术前24小时-48小时内接受抗菌药物治疗的患者，术后仍需继续使用"},{"formItemId":1463405700007870465,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406694670286849,"indNo":3,"isActive":1,"desc":"在手术两天后，被确诊为感染者并行治疗的患者"},{"formItemId":1463405700007870465,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406695345569794,"indNo":4,"isActive":1,"desc":"临床医师认为有继续使用抗菌药物治疗的适应症的患者，并经上级医师认定"},{"formItemId":1463405700007870465,"isDefault":0,"updateDate":1700191168000,"code":"UTD","id":1463406696050212866,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后72小时之后继续使用的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463405700007870465" itemCode="CM-1-6-3-2"></div><a id="1463405700007870465_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405700007870465_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('PIP-2: 手术后并发症')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PIP-2: 手术后并发症</div><div title="PIP-2: 手术后并发症"><p title="手术后并发症" class="itemsubCat">手术后并发症</p><div class="itemTR" id="1463405701928861698_Row" dic='[{"formItemId":1463405701928861698,"isDefault":0,"updateDate":1703202314000,"code":"y","matchRule":"","updateUser":"admin","id":1463406697446916097,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463405701928861698,"isDefault":1,"updateDate":1703202314000,"code":"n","matchRule":"","updateUser":"admin","id":1463406698164142082,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有手术后并发症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463405701928861698" itemCode="CM-2-1"></div><a id="1463405701928861698_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405701928861698_Note"></span></div><div class="itemTR" id="1463405704973926402_Row" dic='[{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406699745394690,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406702048067586,"indNo":2,"isActive":1,"desc":"手术并发症(O04.5，T81.1，T81.2，T81.7，T81.8)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406702727544834,"indNo":3,"isActive":1,"desc":"手术患者手术后肺栓塞(I26.9，O04.2，O07.2，O88.2)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406703402827777,"indNo":4,"isActive":1,"desc":"手术患者手术后深静脉血栓(I80.2，I82.8，O22.3，O87.1)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406704073916417,"indNo":5,"isActive":1,"desc":"手术患者手术后败血症(T81.4)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"e","id":1463406704933748737,"indNo":6,"isActive":1,"desc":"手术患者手术后出血或血肿(O04.1，O04.6，O04.8，O07.1，O07.6，T81.0)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"f","id":1463406705617420289,"indNo":7,"isActive":1,"desc":"手术患者手术伤口裂开(T81.3)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"g","id":1463406706309480450,"indNo":8,"isActive":1,"desc":"手术患者猝死（手术后24小时内死亡）(R96.0，R96.1)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"h","id":1463406707651657729,"indNo":9,"isActive":1,"desc":"手术患者手术后呼吸道并发症(J95.0至J95.9，J96.0，J96.9)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"i","id":1463406708322746370,"indNo":10,"isActive":1,"desc":"手术患者手术后生理/代谢紊乱(E86-x0，E87.0至E87.8，E88.8，E88.9，E89.0至E89.9)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"j","id":1463406709006417921,"indNo":11,"isActive":1,"desc":"与手术/操作相关感染(O04.0，O07.0，T81.4)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"k","id":1463406709744615425,"indNo":12,"isActive":1,"desc":"手术过程中异物遗留(T81.5)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"l","id":1463406710440869890,"indNo":13,"isActive":1,"desc":"麻醉并发症(T88.2，T88.3，T88.4，T88.5)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"m","id":1463406711111958529,"indNo":14,"isActive":1,"desc":"输注、输血反应(T80.0至T80.9)"},{"formItemId":1463405704973926402,"isDefault":0,"updateDate":1700191168000,"code":"oth","id":1463406711938236418,"indNo":15,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后并发症类别及ICD-10四位亚目的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405704973926402" itemCode="CM-2-2"><a id="1463405704973926402_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405704973926402_Note"></span></div><div class="itemTR" id="1463405706861363201_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-2-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他手术后并发症类别及ICD-10四位亚目和名称填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405706861363201" itemCode="CM-2-3-1-1"><a id="1463405706861363201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405706861363201_Note"></span></div><div class="itemTR" id="1463405708794937346_Row" dic='[{"formItemId":1463405708794937346,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406713230082049,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405708794937346,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406715046215682,"indNo":2,"isActive":1,"desc":"O04.5医疗性流产,完全性或未特指,并发生殖道和盆腔感染"},{"formItemId":1463405708794937346,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406715729887233,"indNo":3,"isActive":1,"desc":"T81.1在操作中发生或由于操作造成的休克,不可归类在他处者"},{"formItemId":1463405708794937346,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406716380004353,"indNo":4,"isActive":1,"desc":"T81.2在操作中意外的穿刺和撕裂,不可归类在他处者"},{"formItemId":1463405708794937346,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406717038510082,"indNo":5,"isActive":1,"desc":"T81.7操作后的血管并发症,不可归类在他处者"},{"formItemId":1463405708794937346,"isDefault":0,"updateDate":1700191168000,"code":"e","id":1463406717701210114,"indNo":6,"isActive":1,"desc":"T81.8操作的其他并发症,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>介入操作与手术其他并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405708794937346" itemCode="CM-2-3-1"><a id="1463405708794937346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405708794937346_Note"></span></div><div class="itemTR" id="1463405710665596929_Row" dic='[{"formItemId":1463405710665596929,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406719047581698,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405710665596929,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406719710281730,"indNo":2,"isActive":1,"desc":"I26.9肺栓塞未提及急性肺源性心脏病"},{"formItemId":1463405710665596929,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406720410730497,"indNo":3,"isActive":1,"desc":"O04.2医疗性流产,不完全性,并发栓塞"},{"formItemId":1463405710665596929,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406721169899522,"indNo":4,"isActive":1,"desc":"O07.2医疗性流产失败,并发栓塞"},{"formItemId":1463405710665596929,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406721887125506,"indNo":5,"isActive":1,"desc":"O88.2产科血凝块栓塞"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后肺栓塞例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405710665596929" itemCode="CM-2-3-2"><a id="1463405710665596929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405710665596929_Note"></span></div><div class="itemTR" id="1463405712456564737_Row" dic='[{"formItemId":1463405712456564737,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406723208331266,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405712456564737,"isDefault":0,"updateDate":1700191168000,"code":"a","id":1463406725439700994,"indNo":2,"isActive":1,"desc":"I80.2下肢其他深部脉管的静脉炎和血栓性静脉炎"},{"formItemId":1463405712456564737,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406726123372546,"indNo":3,"isActive":1,"desc":"I82.8其他特指的静脉栓塞和血栓形成"},{"formItemId":1463405712456564737,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406726828015617,"indNo":4,"isActive":1,"desc":"O22.3妊娠期深静脉血栓形成"},{"formItemId":1463405712456564737,"isDefault":0,"updateDate":1700191168000,"code":"d","id":1463406727499104257,"indNo":5,"isActive":1,"desc":"O87.1产褥期深静脉血栓形成"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后深静脉血栓例数</div><input placeholder="点击选择" class="Combo" 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style="display:inline-block;width:35%;" title="CM-4-5" class="itemDescTD">非医嘱离院可能涉及因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463405751698472962" itemCode="CM-4-5"></div><a id="1463405751698472962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405751698472962_Note"></span></div><div class="itemTR" id="1463405753762070529_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他非医嘱离院因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405753762070529" itemCode="CM-4-4-1"><a id="1463405753762070529_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405753762070529_Note"></span></div><div class="itemTR" id="1463405755599175682_Row" 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style="width:35%;border:0;height:28px;line-height:28px;" id="1463405755599175682" itemCode="CM-4-6"><a id="1463405755599175682_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405755599175682_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('PIP-5: 患者对服务的体验与评价')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PIP-5: 患者对服务的体验与评价</div><div title="PIP-5: 患者对服务的体验与评价"><p title="出院时实施患者对服务的体验与评价" class="itemsubCat">出院时实施患者对服务的体验与评价</p><div class="itemTR" id="1463405757453058049_Row" dic='[{"formItemId":1463405757453058049,"isDefault":1,"updateDate":1701949577000,"code":"y","updateUser":"batch","id":1463406841500286977,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463405757453058049,"isDefault":0,"updateDate":1700191168000,"code":"n","id":1463406842213318658,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否对服务的体验与评价</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463405757453058049" itemCode="CM-5-1"></div><a id="1463405757453058049_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405757453058049_Note"></span></div><div class="itemTR" id="1463405759353077762_Row" dic='[{"formItemId":1463405759353077762,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406843555495938,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405759353077762,"isDefault":1,"updateDate":1701949585000,"code":"a","updateUser":"batch","id":1463406844255944706,"indNo":2,"isActive":1,"desc":"患者给医院整体评分9或10分"},{"formItemId":1463405759353077762,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406844931227649,"indNo":3,"isActive":1,"desc":"患者给医院整体评分7或8分"},{"formItemId":1463405759353077762,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406845828808706,"indNo":4,"isActive":1,"desc":"患者给医院整体评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>整体医院评级</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405759353077762" itemCode="CM-5-2-1"><a id="1463405759353077762_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405759353077762_Note"></span></div><div class="itemTR" id="1463405761244708865_Row" dic='[{"formItemId":1463405761244708865,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406847191957505,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405761244708865,"isDefault":1,"updateDate":1701949599000,"code":"a","updateUser":"batch","id":1463406847875629058,"indNo":2,"isActive":1,"desc":"说是的患者，他们肯定会给家人和朋友推荐这家医院"},{"formItemId":1463405761244708865,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406848550912001,"indNo":3,"isActive":1,"desc":"说是的患者，他们可能会给家人和朋友推荐这家医院"},{"formItemId":1463405761244708865,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406849238777858,"indNo":4,"isActive":1,"desc":"说不的患者，他们可能或肯定不会给家人和朋友推荐这家医院"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者推荐</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405761244708865" itemCode="CM-5-2-2"><a id="1463405761244708865_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405761244708865_Note"></span></div><div class="itemTR" id="1463405763207643137_Row" dic='[{"formItemId":1463405763207643137,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406850593538050,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405763207643137,"isDefault":1,"updateDate":1701949606000,"code":"a","updateUser":"batch","id":1463406851256238081,"indNo":2,"isActive":1,"desc":"患者说他们的房间和浴室“总是”干净"},{"formItemId":1463405763207643137,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406851944103937,"indNo":3,"isActive":1,"desc":"患者说他们的房间和浴室“经常”干净"},{"formItemId":1463405763207643137,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406852623581185,"indNo":4,"isActive":1,"desc":"患者说他们的房间和浴室“有时”或“从不”干净"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房、床单元和卫生间清洁度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405763207643137" itemCode="CM-5-2-3"><a id="1463405763207643137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405763207643137_Note"></span></div><div class="itemTR" id="1463405766047186946_Row" dic='[{"formItemId":1463405766047186946,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406853978341378,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405766047186946,"isDefault":1,"updateDate":1701949613000,"code":"a","updateUser":"batch","id":1463406854674595842,"indNo":2,"isActive":1,"desc":"患者说他们房间周边在晚上“总是”安静"},{"formItemId":1463405766047186946,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406855379238914,"indNo":3,"isActive":1,"desc":"患者说他们房间周边在晚上“经常”安静"},{"formItemId":1463405766047186946,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406856054521858,"indNo":4,"isActive":1,"desc":"患者说他们房间周边在晚上“有时”或“从不”安静"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房与周边噪音</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405766047186946" itemCode="CM-5-2-5"><a id="1463405766047186946_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405766047186946_Note"></span></div><div class="itemTR" id="1463405768010121218_Row" dic='[{"formItemId":1463405768010121218,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406857434447874,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405768010121218,"isDefault":1,"updateDate":1701949622000,"code":"a","updateUser":"batch","id":1463406858445275137,"indNo":2,"isActive":1,"desc":"患者说他们的医生“总是”很好沟通"},{"formItemId":1463405768010121218,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406859116363777,"indNo":3,"isActive":1,"desc":"患者说他们的医生“经常”很好沟通"},{"formItemId":1463405768010121218,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406859795841025,"indNo":4,"isActive":1,"desc":"患者说他们的医生“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>医生沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405768010121218" itemCode="CM-5-2-6"><a id="1463405768010121218_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405768010121218_Note"></span></div><div class="itemTR" id="1463405769884975106_Row" dic='[{"formItemId":1463405769884975106,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406861200932866,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405769884975106,"isDefault":1,"updateDate":1701949630000,"code":"a","updateUser":"batch","id":1463406861888798722,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463405769884975106,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406862555693058,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463405769884975106,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406863247753218,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405769884975106" itemCode="CM-5-2-7"><a id="1463405769884975106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405769884975106_Note"></span></div><div class="itemTR" id="1463405771805966337_Row" dic='[{"formItemId":1463405771805966337,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406864665427970,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405771805966337,"isDefault":1,"updateDate":1701949637000,"code":"a","updateUser":"batch","id":1463406865365876737,"indNo":2,"isActive":1,"desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463405771805966337,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406866087297025,"indNo":3,"isActive":1,"desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463405771805966337,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406866770968577,"indNo":4,"isActive":1,"desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405771805966337" itemCode="CM-5-2-8"><a id="1463405771805966337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405771805966337_Note"></span></div><div class="itemTR" id="1463405773630488578_Row" dic='[{"formItemId":1463405773630488578,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406868117340162,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405773630488578,"isDefault":1,"updateDate":1701949643000,"code":"a","updateUser":"batch","id":1463406868876509185,"indNo":2,"isActive":1,"desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463405773630488578,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406869560180738,"indNo":3,"isActive":1,"desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463405773630488578,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406870269018113,"indNo":4,"isActive":1,"desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405773630488578" itemCode="CM-5-2-9"><a id="1463405773630488578_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405773630488578_Note"></span></div><div class="itemTR" id="1463405775475982338_Row" dic='[{"formItemId":1463405775475982338,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406871619584001,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405775475982338,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1463406872324227074,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463405775475982338,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406873079201793,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463405775475982338,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406873813204994,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405775475982338" itemCode="CM-5-2-10"><a id="1463405775475982338_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405775475982338_Note"></span></div><div class="itemTR" id="1463405777388584962_Row" dic='[{"formItemId":1463405777388584962,"isDefault":0,"updateDate":1700191168000,"code":"def","id":1463406875180548098,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463405777388584962,"isDefault":1,"updateDate":1701949661000,"code":"a","updateUser":"batch","id":1463406875864219650,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463405777388584962,"isDefault":0,"updateDate":1700191168000,"code":"b","id":1463406876577251330,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463405777388584962,"isDefault":0,"updateDate":1700191168000,"code":"c","id":1463406877386752001,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405777388584962" itemCode="CM-5-2-11"><a id="1463405777388584962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405777388584962_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('PIP-6: 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;PIP-6: 住院费用</div><div title="PIP-6: 住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463405780647559170_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405780647559170" itemCode="CM-6-1"><a id="1463405780647559170_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405780647559170_Note"></span></div><div class="itemTR" id="1463405782459498498_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405782459498498" itemCode="CM-6-2"><a id="1463405782459498498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405782459498498_Note"></span></div><div class="itemTR" id="1463405784338546689_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405784338546689" itemCode="CM-6-3"><a id="1463405784338546689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405784338546689_Note"></span></div><div class="itemTR" id="1463405786196623361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405786196623361" itemCode="CM-6-4"><a id="1463405786196623361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405786196623361_Note"></span></div><div class="itemTR" id="1463405788084060162_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405788084060162" itemCode="CM-6-5"><a id="1463405788084060162_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405788084060162_Note"></span></div><div class="itemTR" id="1463405789954719746_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405789954719746" itemCode="CM-6-6"><a id="1463405789954719746_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405789954719746_Note"></span></div><div class="itemTR" id="1463405793381466113_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405793381466113" itemCode="CM-6-7"><a id="1463405793381466113_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405793381466113_Note"></span></div><div class="itemTR" id="1463405795239542786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405795239542786" itemCode="CM-6-8"><a id="1463405795239542786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405795239542786_Note"></span></div><div class="itemTR" id="1463405797177311233_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405797177311233" itemCode="CM-6-9"><a id="1463405797177311233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405797177311233_Note"></span></div><div class="itemTR" id="1463405799052165122_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405799052165122" itemCode="CM-6-10"><a id="1463405799052165122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405799052165122_Note"></span></div><div class="itemTR" id="1463405800897658881_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405800897658881" itemCode="CM-6-11"><a id="1463405800897658881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405800897658881_Note"></span></div><div class="itemTR" id="1463405802751541249_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405802751541249" itemCode="CM-6-12"><a id="1463405802751541249_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405802751541249_Note"></span></div><div class="itemTR" id="1463405806312505346_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405806312505346" itemCode="CM-6-13"><a id="1463405806312505346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405806312505346_Note"></span></div><div class="itemTR" id="1463405808149610498_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405808149610498" itemCode="CM-6-14"><a id="1463405808149610498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405808149610498_Note"></span></div><div class="itemTR" id="1463405810070601730_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405810070601730" itemCode="CM-6-15"><a id="1463405810070601730_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405810070601730_Note"></span></div><div class="itemTR" id="1463405811987398657_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405811987398657" itemCode="CM-6-16"><a id="1463405811987398657_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405811987398657_Note"></span></div><div class="itemTR" id="1463405813837086721_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405813837086721" itemCode="CM-6-17"><a id="1463405813837086721_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405813837086721_Note"></span></div><div class="itemTR" id="1463405815674191873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405815674191873" itemCode="CM-6-18"><a id="1463405815674191873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405815674191873_Note"></span></div><div class="itemTR" id="1463405817540657154_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405817540657154" itemCode="CM-6-19"><a id="1463405817540657154_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405817540657154_Note"></span></div><div class="itemTR" id="1463405819415511041_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405819415511041" itemCode="CM-6-20"><a id="1463405819415511041_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405819415511041_Note"></span></div><div class="itemTR" id="1463405821328113666_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405821328113666" itemCode="CM-6-21"><a id="1463405821328113666_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405821328113666_Note"></span></div><div class="itemTR" id="1463405823303630849_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405823303630849" itemCode="CM-6-22"><a id="1463405823303630849_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405823303630849_Note"></span></div><div class="itemTR" id="1463405825216233474_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405825216233474" itemCode="CM-6-23"><a id="1463405825216233474_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405825216233474_Note"></span></div><div class="itemTR" id="1463405827070115841_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405827070115841" itemCode="CM-6-24"><a id="1463405827070115841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405827070115841_Note"></span></div><div class="itemTR" id="1463405828999495682_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405828999495682" itemCode="CM-6-25"><a id="1463405828999495682_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405828999495682_Note"></span></div><div class="itemTR" id="1463405831880982530_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405831880982530" itemCode="CM-6-26"><a id="1463405831880982530_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405831880982530_Note"></span></div><div class="itemTR" id="1463405833743253506_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405833743253506" itemCode="CM-6-27"><a id="1463405833743253506_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405833743253506_Note"></span></div><div class="itemTR" id="1463405835605524481_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405835605524481" itemCode="CM-6-28"><a id="1463405835605524481_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405835605524481_Note"></span></div><div class="itemTR" id="1463405837459406849_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405837459406849" itemCode="CM-6-29"><a id="1463405837459406849_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405837459406849_Note"></span></div><div class="itemTR" id="1463405839317483522_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463405839317483522" itemCode="CM-6-30"><a id="1463405839317483522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463405839317483522_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>PIP-1: 预防性抗菌药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>PIP-2: 手术后并发症</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>PIP-3: 手术切口愈合情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>PIP-4: 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>PIP-5: 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>PIP-6: 住院费用</a></li></ul></div>
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